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HomeMy WebLinkAbout038-1079-90-000 C * 0, C C A. - ~i 3 3 I ~ I~ r. 0 3 a obi N a W(D v m °w • 3 C c) 9 z q ai 0 @ o O = N , A = CD FD. CA) cb 00 y y 3 ? O C 00 O ~ v cn ~ A ~ °a A ' CD (a CD cn O. N c R Z N Z T m v' W o 3 =r p o :I D V a o a (0 CD U) cn 00 00 0 CA 0 CA a) 0) a ~ n r z 000 sT N• o CA p N D C.ta r-1 d 0 N CDI~ I ~vv,~ j A y N! W (D rm ~Ov N j' N Cn CO rt :3 V cl 7 z N (D ' D D N - o 0 oo " 6 a a O r- ~r 0 a N • oa CD a (7 S Z iZ ~ !I ~ ~ ~IrnG z3 c 0. ci m m m co c~ I ' z 1 ~ °0 3 z M co v v fR CD ? W co ( D CL d G p !i ~ C 7 CD n I I~ a q .Z' A V tip O A CD DO a 0 ti O CL Parcel 038-1079-90-000 01/27/2006 04:21 PM PAGE 1 OF 1 Alt. Parcel 19.31.18.328C 038 - TOWN OF STAR PRAIRIE Current X ST. CROIX COUNTY, WISCONSIN Creation Date Historical Date Map # Sales Area Application # Permit # Permit Type 00 0 Tax Address: Owner(s): O = Current Owner, C = Current CO-Owner O - NEUMAN, WILLIAM A & JOANNE K WILLIAM A & JOANNE K NEUMAN 884 205TH AVE SOMERSET WI 54025 Districts: SC = School SP = Special Property Address(es): Primary Type Dist # Description 884 205TH AVE SC 5432 SCH D OF SOMERSET SP 1700 WITC Legal Description: Acres: 14.288 Plat: N/A-NOT AVAILABLE SEC 19 T31 N R1 8W LOT 2 OF CSM 6/1526 Block/Condo Bldg: Tract(s): (Sec-Twn-Rng 401/4 1601/4) 19-31 N-1 8W Notes: Parcel History: Date Doc # Vol/Page Type 07/23/1997 766/429 07/23/1997 716/250 2005 SUMMARY Bill M Fair Market Value: Assessed with: 119260 266,000 Valuations: Last Changed: 10/14/2004 Description Class Acres Land Improve Total State Reason RESIDENTIAL G1 14.288 95,900 165,500 261,400 NO Totals for 2005: General Property 14.288 95,900 165,500 261,400 Woodland 0.000 0 0 Totals for 2004: General Property 14.288 95,900 165,500 261,400 Woodland 0.000 0 0 Lottery Credit: Claim Count: 1 Certification Date: Batch M 114 Specials: User Special Code Category Amount Special Assessments Special Charges Delinquent Charges Total 0.00 0.00 0.00 DEPARTMENT OF INDUSTRY, INSPECTION REPORT FOR SAFETY & BUILDINGS LABOR & HUMAN RELATIONS P.O. BOX 7969 PRIVATE SEWAGE SYSTEMS DIVISION BUREAU OF PLUMBING MADISON, WI 53707 ❑CONVENTIONAL MALTERNATIVE State Plan I.D. N-1- ❑ Holding Tank ❑ In-Ground Pressure ❑ Mound D /O (I~~~nll 12 NAME OF PERMIT HOLDER. ADDRESS OF PERMIT HOLDER. INSPECTION DATE W-i2?.iam Neuman 1620 Papenjack Dtc-ive, New Richmrnd0 W1 BENCH MARK (Permanent reference pomtl DESCRIBE IF DIFFERENT FROM PLAN: REF. PT. ELEV.: CST HEF PT. ELEV SE NE, Section 19, T31N-R18w, Town 04 StaA PAai& e Name of Plumber. JMPIMPRSW No.. Coumy Sanitary P-1,1 Number Cat Pawe)rs, JA. 1563 St. C&oiX 83831 SEPTIC TANK/HOLDING TANK: MANUFACTUHER LIQUID CAPACITY TANK INLET ELEV. TANK OUTLET ELEV WARNINGLABEL LOCKING COVER t_1 e rt" / ` /000 a w p~, PROVIDED PROVIDED JJ ~ / yV[ I/~ 7 Y BEDDING JV . VENT MAT L. HIGH WATER ES ❑ NUMBER OF ROAD: PROPERTY WELL NO BUILDIN ❑GYI VENT ENT T MNO O FRESI+ C ALARM FEET FROM J LINE AIR INLET ❑YES NO ❑YES INO NEAREST ~GO f Sol ~O DOSING CHAMBER: MANUFACTURER BEDDING LIOUIDCnPACIFY PUN MUU L PUMP SIPHON MANUf ACT HEN WARNING LABEL LOCKING COVER tip PROVIDED PROVIDED DG✓vYJ ❑YES NO ~QL••/ YES L~NO OYES []NO GALLONS PER CYCLE: PUMPANDCONTROLS OPERATIONAL NUMBER OF PH(7Pf~ily WFLL HuHDIN(, VENT ToIfitSII (DIFFERENCE BETWEEN FEET FROM LI"E AIR I"LET PUMP ON AND OFF) / YES ❑NO NEAREST-30 O SOIL ABSORPTION SYSTEM. Check the soil moisture at the depth of plowing LE NGII+ 10' AAII if R J MAII Innl AND 41AHKIN(, or excavation. (If soil can be rolled into a wire, construction shall cease until FORCE s/ the soil is dry enough to continue.) MAIN 3 / D CONVENTIONAL SYSTEM: BED/TRENCH WIDTH LENGTH NO OF OISTR PIPE -PAGING COVER INSIIH DIA =PIIti OUIO THENCHFS Mn EHIAL' DIMENSIONS G S ,3 ~t w PIT Dfrlll (,f LOW I)E1' 111 FILL DEPfII OItiTI+ I'll'f UISiH PIPE DISTR. PIPE MATE HIAL NO DISTH NUMBE R OF PROPER TY WELL HUILDING VENT TO f Hf tilt if LOW PIPES ABOVE COVEH i I f V INI 1 I ELEV END pIPFS LINT AIR INIE i / S FEET FROM NEAREST-~ MOUND SYSTEM: Mound site plowed perpendicular to slope Check the texture of the fill material for PROVIDE A DIAGRAM OF SYSTEM and furrows thrown upslope: mound systems to make certain that it ON REVERSE SIDE. SHOW ELEVA- YES ❑NO meets the criteria for medium sand. TIONS MEASURED. SOIL COVE TF-XIiIHE PEFi NinNf NI MnHKI I7S nltSl ;AY ES NO IION WI I I S N O DF PTII OVF Ff THE NCII HED DEPTH OVI H TRENCH BEO YES ❑ Of PTH OF TOPSOIL S(11 )I )f O ISEf Of 11 Mlll. (111 D CF NI ER EO(~ES O It ❑YES NO YES CJ NO YES 1_1NO PRESSURIZED DISTRIBUTION SYSTEM: BED/TRENCH WIDTH ENGTH NO.OF LATERAL SPACING GRAVEL UEPT11 Hf LOW PIPE L DFPT14 ABOVE COVE 1i TRENCHES G 3 DIMENSIONS 01 61, S MA ( PUMP MANIC OtO UIS F MANY OLD TEHIAL (-)I T_ I:ISIR EV pIA~ F PI P DISTRIBUTION PIPf Ulti llt lf411N1'll'1 t`tAII RIAI fL M11A11K INt. EL E DIA/, ELEVATION AND 7 /y `7J H/1O F ' NG UIiILLEU C(If1Rf CII Y INFORMATION COVFR MATERIAL VI III AI I II I (OFI Rf$f4)N US TO APPFIUVI U PLANS YES ❑NO ❑YES ❑NO COMMENTS: PERMANENT MARKERS. OBSERVATION WE LLS: PZNTY WEL B NUMBER OF FEET FROM YES ❑NO YES ❑NO NEAREST----~~~Sketch System on Reverse Side. tain in county file for audit. sH;NAru DILHR SBD 6710 (R.01/82) APPLICATION FOR SANITARY PERMIT 4DI~.HR . oePaarmsnr or (PLB 67) OUNTY JnousrsrYj_Reoas.UrnFnRELar1ons UNIFORM SANITARY PERMIT # v 3 1? 3R -Attach complete plans in accord with s. H 63.05, Wis. Adm. Code for the system, on paper not less than 8'/zx 11 inches in size. -See reverse side for instructions for completing this application. PLEASE PRINT j MAILING ADDRESS WPROPIER ERT OWNER TY LO C ION % tTY: 1/4 1/4, S i T/, N, R VILLAGE: LOT NUMBER BLOCK NUMBER SUBDIVISIj' NAME TOWN OF NEAREST ROAD, LAKE OR LANDMARK STATE PLAN I.D. NUMBER TYPE OF BUILDING OR USE SERVED ;1_'1 1 or 2 Family Number of Bedrooms: LJ Public (Specify): THIS PERMIT IS FOR A: X New System El Tank Replacement ❑ Replacement Soil Absorption System U Repair ❑ Revision ❑ Priv Alternate System Y U Reconnection ❑ Petition for Modification IF THIS IS A CONVENTIONAL SYSTEM COMPLETE THIS BLOCK. L Seepage Bed [ Seepage Trench System-In-Fill E-) Seepage Pit E-1 Holding Tank L In-Ground Pressure ❑ Vault Privy U Pit Privy Existing, For Which A Previous Permit Is On File, Permit # An Existing System That Has Been Inspected And Is Compliant As Far As Soil Conditions, issued Total - #oI Prefab. Site Gallons Tanks Concrete Constructed Steel f ibe glass Plastic Septic Tank Capacity Lift Pump Tank /Siphon Chamber Holding Tank capacity _ Manufacturer. - IF THIS IS AN ALTERNATIVE SYSTEM COMPLETE THIS BLOCK: - Mound LJ In-Ground Pressure Total #of Prefab. Site Gallons Tanks Concrete Constructed Strel Fiberglass Plastic Septic Tank Capacity E > X Lift Pump/Siphon Chamber ~ Manufacturer: PERCOLATION RATE ABSORPTION AREA (Minutes per inch): REQUIRED (Square Feet): PROPOOSED (O ular RA-EA e Feet): WATER SUPPLY: lip < / f r D Private L11 .Jornt L_J Public 1, the undersigned, hereby assun,e responsibility for installation of private sewage system shown on the attached plans. Na of P,Yumber (Pri t): ~ Si nat re: MP/MPRSW No.: Phone Number: } 7 Plumb 's Address:--~ 31 7 Name of Designer:, COUNTY/DEPARTMENT USE ONLY Sig ature of Issuing Age w Fee: Date: v~ ❑ Disapproved Approved L-1 Owner Given Initial Reaso for D ap ba : Adverse Determination 8601512 RECEDED Alternate course(s) of Action Available: J PLUi,C9>' GA p~U r_l EAU DILHR-SBD-6398 (R. 5/82) DISTRIBUTION: Original to County, One Copy To; Bureau of Plumbing, Owner, Plumber ° SATE OF WLSC*SIN-DEPARTX9NT OF INDUSTRY, LABOR & HUMAN RELATIONS rt DIVISt6N OF SAFETY & BUILDINGS - ;BUREAU "OF PLUMBING1. P. 0. BOX 7969 - MADISON, WI, 53707 APPLICATION FOR THE USE OF AN ALTERNATIVE SYSTEM Location: Township/Munic~~ality: k Jw S IT31 NIR / E{or Street Address: Subdivisions County Y l Ti-n-downers Name: M#il ng A dretir; (We), the undersigned, hereby make application for an alternative system on the above-described premises. I recognize that the above premises are not suited for a conventional private sewage system.- If approval is granted, I agree to have the system installed in conformance with the Bureau's approvsl Of pans and specifications. I further understand that as alternative system is more,,aomplex in nature then a conventional private sewage system and as 'such will require detailed Inspection during construction and monitoring after the system is put into use. I agree to permit both county officials charged with administering county sanitary ordinances and Bureau employes or other authorized persona to have access to the above described premises at any reasonable time for the purpose of idepection the construction of or monitoring of the system, I further agree to either personally or by my agent contact the proper ,6ounty official to arrange the time and date to begin construction of the system. .f i understand that this application does not permit me (the'applieaat) or my agent-(the contractor) to begin installation. If the s$stem,is approved, the ;E a. Bureau will send the applicant a letter of approval whi0h,author zes construction of the alternative system after all necessary permits have been y obtained.: I agree to give notice to any subsequent buyer that an application for an alternative system has been made and if installed, that the premises are served by an alternative system and further agree to give the buyer a copy of this application. . The Bureau accePts'this application subject -to 'this understandingP ec 12 to all the conditions and obligations aet out in thia application. RECEIVED F APR 2 21986 ~1.. r~ _ -a AU 5lgnature of Applicant bake, STATE OF VASCa NSfN Subscribed and sworn to before me SS. COUNTY OF This `ll day Of 19 r AY ~BRENDA L. LAW ._E"LSOTA NOTARY PUBLIC-9ff:, M~ i1YLPS~ RAMSEYMNTY Notary Public a of AeY COMM. MRES FEB. 20, 1492 r My Commission. Expires: 1 DILHR-SBD-.6413,(N:''05/81) , ST. CROIX COUNTY WISCONSIN tA' 1~^~.'y htr 4 ZONING OFFICE 796-2239 (HAMMOND) r, 425-8363 (RIVER FALLS) µHAMMOND, WI 54015 April 15, 1986 Division of Safety and Building Bureau of Plumbing P. 0. Box 7969 Madison, WI 53707 Dear Sir: An on site investigation for the William Neuman property located at the SE14 of the NE-4 of Section 19, T31N-R18W, Town of Star Prairie, St. Croix County, revealed suitable soils at a depth of 2.08 feet, below which seasonable high ground water was noted. This site should be suitable for a mound.system. Should you have any questions, please feel free to contact this office. Sincerely, Thomas C. Nelson Assistant Zoning Administrator RECEIVED m; APR 2 2 1986 PLIJMBlr U EUI %EAU 8601512 WISCONSIN DEPARTMENT OF INDUSTRY, LABOR AND HUMAN RELATIONS DIVISION OF SAFETY & BUILDINGS, BUREAU OF PLUMBING P.O. BOX 7969, MADISON, WISCONSIN 53707 Verification of Exception Status for an Alternative Private Sewage System In the County of St. Croix Location SE 1/4, NE 1/4, Sec. 19 T 31 N, R 18 *EX* W Town wMalelpaUty Star Prairie Street Address Lot No. 2 Block Subdivision Landowner's Name: William Neumann The application for this site is for: new construction use.- ❑ replacement system use. If this is NEW CONSTRUCTION USE, the alternative private sewage system is: lA to have one of the first five approvals guaranteed for this year. This is number 59 - 02 - 7 of those applications. (Use one of the first five quota numbers i ssueTTo you.) 1. one of the applications needing a quota number. The quota number assigned to this application is - - , El for one additional homesite on a farm to be occupied by a parent, child, grandchild, sibling, niece, nephew, or first cousin. D for an individual lot for which a sanitary permit was issued but was later ruled unsuitable due to new or changed soil criteria established by the department. [.Jfor an application on file prior to February 1, 1980. L]for a lot that meets the criteria for a conventional private sewage system. If this is a REPLACEMENT SYSTEM USE, the alternative private sewage system is replacing: ❑ a failing conventional soil absorption system. 6 0 a holding tank that was installed and in use prior to February 1, 1980. RE CESVED ❑ a privy that was installed and in use prior to February 1, 1980. APR 2 2 1986 If this is a REPLACEMENT SYSTEM USE and the Jot meets the criteria for conventional private sewage system, check here. 0 '`EAU I certify that the above information is true and accurate to the best of my knowledge. Name Thomas C. Nelson Si(~Ra . re 0 County Official Title Assistant Zoning Administrator Date April 15, 1986 DILHR-SBD-6158 (R 12/82) • /✓~i~ ~ ~ ,rr7/Jr✓ ~i✓L WORKSHEET - MOUND SYSTEM DESIGN PROBLEM : Design a mound system for a The site characteristics are: Depth to groundwater or bedrock in. Landsl ope Percolation rate min./in. Distance from dose chamber to distri on system ft. Elevation difference between pump and distribution system ft. Step 1. WASTEWATER LOAD ~ct~ j a X11 gal. Step 2. SIZE THE ABSORPTION AREA A) Area required s q. ft B) Bed or trench length (B) ft. C) Bed or trench width (A) _ ft. D) Trench spacing (C) _ Wastewater load ;(.24 gal/ft2/day t B = ft. # trenc es Step 3. MOUND HEIGHT A) Fill depth (D) = ft. B) Fill depth (E) = D + % slope (A) _ ft. /its/ ~/6 C Bed or tree = ch vi.J c~Jr~'Sc~~ depth (F) 860 15 ft. D) Cap and topsoil depth (G) = D ft. E REC~IWE Cap and topsoil depth (H) _ `ZZ 1986 ft. ppR . ~`-AC.e d ~ r y Step 4. MOUND LENGTH A) End slope (K) _ (D + E ~ + F + H x 3 : / ft. B) Total mound length (L) = B + 2(K) Step 5. MOUND WIDTH Al) Upslope correction factor o ~G z A2) Upslope width (J) _ (D + F + G)(3)(factor) _ ft. 7 Bl) Downslope correction factor B2) Downslope width (I) _ (E + F + G)(3)(factor) _ ZZ ;7 ft. C1) Total mound width (W) for bed J + A + I ft. X3'7- 6' 14 f/;"=-,?S0, C2) Total mound width (W) for trenches = J + A + (no. trenches -1)(c) + A + I ft. 1 2Step 6. BASAL AREA A) Infiltrative capacity of natural soil gal./ft2/day B) Basal area required = wastewater flow natural soil infiltrati e capacity sq. ft. O -~:~w~ , 1~:~,~~~~`~,f X08• / ~ y Cl) Basal area available for bed for sloping sites = B x (A + 1) _ /la ",aSsq. ft. % ")(6 'f- 7J //D 6, ,25 C2) Basal area available for trench for sloping sites = B W = J + A = sq. ft. T C3) Basal area available for trench or bed for level sites - B x W = sq. ft'. RECEIVED dz`'e'`'''~' Ap R 2 21986 PL~MB~NC+ iJ'~:E ol'l Step 7. DISTRIBUTION SYSTEM 7A) SIZE DISTRIBUTION SYSTEM 1) Hole size in. 2) Hole spacing = in. 3) Distribution pipe length = n. 4) Distribution pipe diameter in. 5) Spacing between distribution pipes in. 6) Distance from sidewall to distribution pipe in, 7B) DISTRIBUTION PIPE DISCHARGE RATE 1) Number of holes per pipe 2) Flow per pipe = GPM 7C) SIZE MANIFOLD 1) Manifold is central/ end 2) Manifold length ft. 3) Number of distribution lines 4) Manifold diameter in. 7D) SIZE FORCE MAIN 1) Minimum dosing rate = GPM 2) Force main diameter = in. ft. 3) Friction loss 7E) TOTAL D YNAMIC HEAD f' 1) Vertical lift = eft. 2) Friction loss = ft. 3) System head 2.5 ft. = ft. 4) Total dynamic head = S 6 0 1 5 1 2 ft. RECEIVED APR 2 2 1986 RLUMBINCA F~UFEAU 7F) PUMP SELECTION 1) Pump selected will discharge g~ GPM at ft. total dynamic head. 2) Pump model and manufacturer 7G) DOSE VOLUME 1) 10 times void volume of distribution lines gal. /cycle 2) Daily wastewatgr vol ; 4 doses/24 hrs. gal./cycle s Dgfi 3) Minimum dose volume gal./cycle 7H) DOSE CHAMBER 1) Minimum capacity required gal . $3601512 RECEIVED APR 2 2 1986 PLWABIN-G 7Ur-1EAU IIl 1 ~ COO l i l i , - - 1 / ~ol RECEIVED "860 15 12 APR 2 2 1986 PLUMBING EU -iEAU r. ~ Page of Straw, Marsh Hay, Or Synthetic Covering Distribution Pipe Medium Sand G Topsoil F E D 3 % S s Of 2 Force Main Plowed P Aggre ate layer fl'r D F t `~c P E -3L Ft. moss Section Of A Mound System Using N. For The Absorption Area F , A3 Ft. A Bed G ...L,. Ft. A_ Ft. H Ft, Sig B . Ft. KZD:s3Ft. License Number: 1S- y L '.sZ Ft. Date. Ft. Alternate Position T 7 Ft. of Force Main W Ft. L Observation Pipe-,,,, l.----- ----.i M Y Distribution Bed Of 2 - 2 IN Pipe Aggregate Observgtion Pipe Permanent Markers EIVED 3601512 APR 2 2 1986• Plan View Of Mound Using A Bed_ For The Absorption Area ; U EAU r- I it ~ i L'--_--- I i i =z ! t't (n h F/~ f i a ~ Z dam, ~ F® . AOR 986 ~ I 860 15 x 2 ' 4 Page Of ` syoi 7 Perforated Pipe Detail 50,00 ENO ~ N~ n Perforated \S F~ End Cop PVC Pipe QF L aced On Bottom, E S Are Equally Spaced 1 _ S 'Q Y x r7 Q PVC Manifold Pipe Alternate Position Of Distribution Force Main Pipe Lost Holt Should Be _ t Next To End Cap End Cap Distribution Pipe Layout P fj~ Ft. R _ S X Inches Y Inches Hole Diameter ~ Inch Signed: Inch(es) Lateral to License Number: Manifold- Inches. Date: Force Main -3_ Inches # of holes/pipe Invert Elevation of Laterals- Ft. r ' 4 2 Fo A ~SU 151 ~~%,~~~L 219A5 V --Y- OF PUMP CHAMBER CROSS SECTION AND SPECIFICATIONS PAGE Cttja~.9N VENT CAP %%sCypo/J.~ h~l 4"C.1, VENT PIPE WEATHER PROOF APPROVED LOCKING 23' FROM DOOR, JUNCTION BOX MANHOLE COVER WIIJCOW OR FRESH 12°MIU. AIP ?-TAKE GRADE I COKIDUIT f9"MIAI. IK11_.F: PROVIDE `oIRTIGHT SEAL - i-T APPROJEG JOiN? A ~ I W/ C.I. PIPE. E~P~\LJNS i i I I w1C =VPD'EOINTS EKTENDIAI(. 3' OKITO SQ;.ID SC'! I I ALARM EXTEUDIKIG 3' B ~ O `~O\ I I ONTO SOLID SOIL I I C F Q R~P~ P N I oN O PUMP OFF ii+GGG y cJ~F. CONCRETE BOCK RISER EXIT PERMITTED ONLY IF TANK MANUFACTURER HAS SUCH APPROVAL SP ECIFICAT IOUS SEPTIC AMID _ DOSE TANKS MAIJUFACTURER: 7~18v~-5 KIUMBER OF DOSES: PER I)A! TAMK ;IZE: GALLOKIS DOSE VOLUME ALARM MANUFACTURER: "C14, 0, r) C INCLUDING BACKFLOW: GALLONS MODEL IJUMBER: CAPACITIES: A_ ~`7 y ~ `t~LINCNES OR ~;:6~,,"hGGAILOKIS SWITCH TYPE: Aczzli lm /=,I r/ < ! B =INCHES OR GALLONS PUMP MANUFACTURER: ~4in„ C=---LS~~IKILHES OR GALLOKIS MODEL NUMBER: Q D=INCHES OR GALLONS SWITCH TYPE: ! , NOI E: PUMP AND ALARM ARE TO BE PUMP DISCHARGE RATE n GPM ~~rJ W\--i )INSTALLED ON SEPARATE CIRCUITS VERTICAL DIFFEKENCC,Dtr1'W9EN PUMP OFF AND DISTRIBUTION PIPE., LL.;L FEET RAC"'!VE® + MIIUIMUM, NETWORK SUPPLY PRESSURE , , , , , , , , , , , 2-50 FEET + FEET OF FORCE MAIN X / FT. AR 2 2 1986 p I:rFRICTION FACTOR..~ FEET TOTAL DYNAMIC HEAD 7J EAU 9-77 FEET 1Q~ 60 15 12 INTERNAL. DIMEIJSIOWS OF TANK: LENGTH ;WIDTH _;LIQUID OEPTH SIGNED: LICEKISE NUMBER: DATE -117- Model 3870 Submersible Effluent Pumps . 140 ~~tir~JJ I 120 i S`;fJi 7 + ~A e 100 0 v ~ d 80 IV. n O E O ~Vp ) i C 60 l y F- I k'p hY U f I w W P 03,1/3 H~P. .U 20 W 3; % H.P; 0 20 40 60 1 so 100 120 Capacity - Gallons PWMlnute 8601512 M.L WIL H.P. Order No. Volt PAeee Amps RPM Shcda (lOS.) WPO311E 115 W PM031 I E 9.4 Ya 1750 56 WFO312E WPM0312E 230 10 4.7 WPHO511E 115 ,h WPHO512E 230 80 WPHO532E 2081230 34 60 30 - WPHOSUE 460 17 WPM712E 230 10 9.0 RECEIVED % WPH0732E 208/230 30 5.1 WPI-0734E 460 2.7 70 W PH 1012E 230 10 11.6 3450 16" ' APR 2 2 1986 1 WPH1032E 2081230 64 30 WPH1034E 460 3.2 • UWPH1512E 230 10 13.3 ~i~~ll~II iIE"i r~~ WPH1532E 208/230 92 I' 1X WPH1534E 460 30 4.6 a0 !1 WPHH1512E 230 10 13.3 r 21 WPHH1S32E 20IV230 9.2 30 WPHH1534E 460 4.6 SPECIFICATIONS ARE SUBJECT TO CHANGE WITHOUT NOTICE 3 • . 4 s NDUST ERT OF INDUSTRYY, REPORT ON SOIL BORINGS AND SAFETY & BUILDINGS , DIVISION HUMAN RELATIONS \ / I AND PERCOLATION TESTS (115) BOX 7969 (1-163.090) & Chapter 145.045) MADISON, WI 53707 LOCATION: n1 SECTION: TOWNSHIP/ ITY: OT NO.: BLK. NO.: SUBDIVISION NAME: C 17 /T3I N/R/8,R(or) W ;=i9r 19' 2 COUNTY: OWNER'S NAME: MAILING ADDRESS: 11 Lei 411% 1SE DA ES OBSERVATIONS MADE NO. BED77r7A) CIAL DESCRIPTION: > New D SCRIPTIONS: IPERCO A ION TESTS: Residence 1 1-3 ew ❑Replace S- ~5'- 8 S -8~ RATING: S= Site suitable for system U_= Site unsuitable for system CONVENT ALN M OUND: IN-GFEOUND-PRESSURE: SYSTEM-IN -FILL HOLDING TANK: RECOMMENDED SYSTEM:(optional) as®u ,4sC)u , os[SU as as~u d If Percolation Tests are NOT required DESIGN RATE: If any portion of the tested area is in the under s.H63.09(5)(b), indicate: I A"'. Floodplain, indicate Floodptain elevation: Ael PROFILE DESCRIPTIONS G BORING TOTAL ELEVATION DEPTH TO GROUNDWATER-INCHES CHARACTER OF S L WITH THICKNESS, COLOR, TEXTURE, AND DEPTH NUMBER OBSERVED EST. HIGHES TO BEDROCK IF OBSERVED (SEE ABBRV. ON BACK.) 09 it B - o o'7 tg 83 B- 5-SL 7 Z p A,)q op -.,0- - 13- 3 = /Uo to C ,mv>~ s. 1, , 7BI PERCOLATION TESTS TEST DEPTH WATER IN HOLE TEST TIME DROP IN WATER LEVEL-INCHES RATE MINUTES NUMBER LN211£3 AFTERSWELLING INTERVAL-MIN. PERIOD 1 PERIOD2 P R PER INCH P- 2 30 a 2 Z /S" P- 2- Z"° L P- 3 o tL 3/ P- P- P- PLOT PLAN: Show locations of percolation tests, soil borings and the dimensions of suitable soil areas. Indicate scale or distances. Describe what are the hori- zontal and vertical elevation reference points and show their location on the plot plan. Show the surface elevation at all borings and the direction and percent of land slope. SYSTEM ELEVATION ~ 9 ~ - 8601512 e A_~ISM- - 4-~$-~- RFC_~l\f~ll z CERTIFIED SURVEIL Located in the SE 1 /4 of the NE 1 /4 of Section 19, T31MAP R18W, Town of Star Prairie, St. Croix County, Wisconsin NE CORNER Surveyed for: Everett Cloutier SECTION W r31N,R1Vw R t. #4 New Richmond, WI 54017 U P T --N_1.9L ~D _l9NRS_ 1~ S 89°32'17"F 1286.34' a $69.60' 1 i ~ 718.74' O ~ I LOT 3 608,139 SO. FT-INCLUDING + t RIGHT OF-WAY 13.9010 ACRE'S a $ 594,259 SG.FT. EXCLUDING 4 0 RIG14 -OF-WAY 13.6413 ACRES ' i9 1 c " = fR LOT 2 Of y 622,413SO.FT, INCLUDING + B RIGHT-OF-WAY 14.2888 ACRES LOT I AREA I 596,560 $Q.FT I~XCLUDIN 01;1,112~22 SOFT. INCLUDING ROAD RIGHT-OF: WAY 1316951 ACRES ~j014,~8t.Q XC16ID t ROOD ! I i0 o I w 1 Q ° N89032'1 7"W L .06'9• LOT I N ~ ~ 1 ? :-OOACREa1NCL, 1 1 R/W v M ! d 46.58' c 1 N t~ tia L/QAR/w txcL. {3°~i 4L $1 29346' p .4 2wv. 1 ~ It89°4If3Y'W u 4 "E ~-321Ii 536Q3' " N 296.83' 1ltlPJlTJQ 1.NRS 1 Q -S 00 _ _ - 56L160 _ _ • -----------'50"E 4066' I 757$1' scnat IN FEET POINT OF BEGINNING E A CORNER ~ N r9°3, w r; O 1001 I"= 200') 300 SECTION 18 THIS INSTRUMENT GRAFTED BY LFGW COUNTY smmNCORNER 484-685 jjkER'"REN CAP 0 4P IRON PE WEZONINOU1 64 LDVpLN..FT. SET - CENTERLINE SECTION LINE RIGHT-OF-MY LINE RECEIVED APR 22 198 MAY 17 108!3T• CROIX COUNTY SSA P41`11149yf FANKS KAN41419 Mop Ya A+IG COh"TTE! U D' L H R Safety and Buildings Division PLAN APPROVAL Bureau of Plumbing P.O Box 7969 ❑ General Plumbing Plans Madison, WI 53707 Private Sewage Plans Telephone: (608)266-3815 r Pfan Identification No. ,rA ,e► r-- Gallons Per Day, 4( PRIORITY PLAN REVIEW ONLY - Plan Kevww Fee Receivecl 't Petition For Variance Fce Rec. $ Project `Name Project Location - Street No. or 4Legal Description County ❑ City ❑ Village Town of:`-Tt;-~,, C I I - The plumbing plans and specifications for this project have been reviewed for compliance with applicable code requirements. This approval is based on Chapter 145, Wisconsin Statutes and the Wisconsin Administrative Code. The plans are stamped "conditionally approved". This approval is contingent upon compliance with any stipulations shown on the plans. All items that are noted must be corrected. All permits required by the city, village, township or county shall be obtained prior to construction. The licensed plumber responsible for this installation shall keep one set of plans with the department's approval stamp at the construction site. The installer shall notify the appropriate inspector when inspections can be made. ❑ FOR GENERAL PLUMBING PLANS: 3a 3b 3c 3d 3e 3f 3g This approval will expire two years from the date approved below. If construction has not commenced before the expiration date, new plan approval must be obtained. FOR PRIVATE SEWAGE PLANS: (1) (2) (3a)cN(3b) (4a) (4b) (6) (7) This approval will expire two years from the date'ap"p'roved below or if a sanitary permit is obtained, it will expire the day the initial sanitary permit expires. The Bureau of Plumbing has reviewed these plans for plumbing and/or private sewage code requirements only. All other system reviews must be submitted to the Bureau of Buildings and Structures. Comments: By: James Sargent Bureau Director If Questions Plans Approved By: sj -'j` ` r Date A provfd: Contact ♦ IJ a`-~ / / . i ` j ` 6- cc: Private Sewage Consultant ❑ Plumbing Consultant ❑ Environmental Health County ❑ Local PI ❑ Facilities Need Analysis Section ❑ UW-SSWMP ❑ Plumber ❑ Department of Agriculture DILHR-SBD-6099 (R. 01/85) ❑ Owner ❑ Other H z H a STC - 105 r r a H SEPTIC TANK MAINTENANCE AGREEMENT St. Croix County z d OWNER/BUYER jo5k4-, ROUTE/BOX NUMBER Fire Number CITY/STATE r_'r AL~'y ZIP '17 PROPERTY LOCATION: k. k, Section , T _N, R),y W, Town of St. Croix County, Subdivision Lot numbers Improper use and maintenance of your septic system could result in its premature failure to handle wastes. Proper maintenance con- sists of pumping out the septic tank every three years or sooner, if needed, by a licensed septic tank pumper. What you put into the system can affect the function of the septic tank as a treat- ment stage in the waste disposal system. St. Croix.County residents may be eligible to receive a grant for a maximum of 60% of the cost of replacement of a failing system, which was in operation prior.to July 1, 1978. St. Croix County accepted this program in August of 1980, with the requirement that owners of all new systems agree to keep their systems properly maintained. The property owner agrees to submit to St. Croix County Zoning a certification form, signed by the owner and by a master plumber, journeyman plumber, restricted plumber or a licensed pumper veri- fying that (1) the on-site wastewater disposal system is in proper operating condition and (2) after inspection and pumping (if nec- essary), the septic 'tank is less than 1/3 full of sludge and scum. Certification form will be sent approximately 30 days prior to three year expiration. H 0 E I/WE, the undersigned, have read the above requirements and agree to maintain the private sewage disposal system in accordance with x the standards set forth, herein, as set by the Wisconsin Depart- 0 ment of Natural Resources. Certification form must be completed and returned to the St. Croix County Zoning Office within 30 days of the three year expiration date. SIGNED ~~CS DATE St. Croix County Zoning Office P.O. Box 98. Hammond, WI 54015 715-796-2239 or 715-425-8363 Sign, date and return to above address. APPLICATION FOR SANITARY PERMIT STC - 100 This application form is to be completed in full and signed by the owner(s) of the property being developed. Any inadequacies will only result in delays of the permit issuance. Should this development be intended for resale by owner/contractor, ("spec house"), then a second form should be retained and completed when the property is sold and submitted to this office with the appropriate deed recording. - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - Owner of Property Location of Property 14, Section , T N-R W Township \ >~r, Z212Zx~11Z u Mailing Address Z_; )`/fir r'~JS'c~ fJ "ILI Address of Site, Subdivision Name l Lot Number Previous Owner of property Total Size of Parcel Date Parcel was Created Are all corners and lot lines identifiable? Yes No Is this property being developed for resale (spec house) ? Yes No Volume -I.-II (la and Page Number c3__ as recorded with the Register of Deeds. INCLUDE WITH THIS APPLICATION THE FOLLOWING: A Warranty Deed which includes a Document number, volume and age number, and the Seal of the Register of Deeds. In addition, a certified survey, if available, would be helpful so as to avoid delays of the reviewing process. If the deed description refer- ences to a Certified Survey Map, the Certified Survey Map shall also be required. - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - PROPFRTV OWNER CERTIFICATION I (We) cettjy that att statements on thi,6 jotm ate true to the best o6 my (out) knowtedg e; that I (we) am (ate) the owneA (:s) o6 the pno pent y des dr ib ed in thi.6 .in4otmation iotm, by viA tue o6 a waAAanty deed tecotded in the 066.ice o6 the County Regi stet o6 Deeds ass Document No. n and that I (We) ptesent.2y own the ptopod ed site Got the sewage diz pod system (ox I (we) have obtained an ea,sement, to nun with the above de>scAibed ptopetty, bot the covusttuction o6 zaid ,sybtem, and the same ha.a been duty tecotded in the 046ice o6 the County Reg.ustet o6 Deeds, as Document No. SIGNATURE OF OWNER SIGNATURE OF CO-OWNER (IF APPLICABLE) 71 1 1~ DATE SI D DATE SIGNED D y r S ~ S N W m AJ ? fA fA N O rm-L N C1 A N 7 1 3 =r m °o c 0 c x ~c O m c= m• .0 a m N p~ ? mm m~6!N~ a o app w o° ~(D M co cam°- m~m0' N,acn =w0, ~ID a ?oommmow,o " r o m s rn o cu o`Q 0 j a ~ > > Q j Z(o cl<cr 0 o m 0 _~-.,ate ~m w Acl) m c~ cc 0, 00 CCD (D o n jy n o a wmw o°a~~~ O j 0 N M I w w 0 Z (A cn f ~ 6 f~ D m m m ci sum Z aM ° 3 m m ?a D -i ca C= OCD. 0 y D m ° ° f11 N Cc CL ma(aw a c 3 m CD MD M c? o a m s MCII (D fp m .y. fA • j a co 0 Ea _ 0 'ID aof a,ccCc O w3w ID -°ayo m ana(D 0. a ~<co w =r m 3 1NO ~'c .mcu~ cD o c a ° (A ~ n N ° ~ c,~ cCD °4s a~3 0-1 a 00° os w a3 m ° 3 3 vi a ° < eo coo m z o SBD 6678 (R. 08/83) (Plb 100x) (Wis Stats. S. 145.02) 16 ' STATE OF WISCONSIN DILHR Detach And Return Upper DIVISION OF SAFETY & BUILDINGS Portion Of This Form With BUREAU OF PLUMBING 201 E. WASHINGTON AVE. RM 141 Any Return Corresponds a P.O. BOX 7969 MADISON, Will 53707 D 608-266-3815 DATE: RICEIVE('U PROJECT: u t/~'; Lv APR 28 1986 - r ZONING OFFICE r CrUi x t i PLAN ID. # DETACH HERE PROJECT NAME PLAN ID. # pit>-l I i This is to acknowledge receipt of your plans and specifications for the above-indicated project. Preliminary review indicates the required fee is $ Fee Received is $ Plan accepted for review. ❑ Underpayment- Please submit additional fee. Plans will be held in abeyance. ❑ Plans being returned. ❑ Overpayment-Refund forthcoming. ❑ Additional information required. SEE BELOW. ❑ No fee has been remitted. Plans will be held in abeyance. 1. Plan Submission ❑ Soil boring and percolation test data on 115 completed ❑ Additional information shall be submitted in duplicate unless by Certified Soil Tester. (1 copy) specifically noted. ❑ Petition For Modification signed by county, owner and ❑ Plans not clear, legible or permanent. notarized. (1 copy) ❑ All information submitted shall be signed, dated and sealed or ❑ Complete data relative to anticipated use of building. stamped in accord with Section ILHR 83.08 (2) (a) Wisconsin ❑ Deed restriction required. (1 copy) Administrative Code. ❑ Affidavit enclosed. ❑ Condominium declaration. (1 copy) ❑ Plot plan showing location of land parcel (distance from nearest road intersection, etc.), lot size and all distances from IV. Holding Tanks private sewage system to buildings, lot lines, well, water- ❑ Holding tank profile showing vent, manhole, alarm, course, swimming pools, water service piping, all weather ser- and manufacturer if state approved. Complete vice road, etc. Show benchmark with permanent elevation. construction details if site constructed. ❑ Holding tank agreement signed by owner and local II. Pressure Distribution Systems (Mound or Inground Pressure) unit of government (sample enclosed). ❑ Application for Use of an Alternative System signed by owner ❑ Reason for installing holding tank. Statement from and notarized. (1 copy) county or soil boring and percolation test data on ❑ County onsite required. (1 copy) ❑ Design calculations. 115 completed by CST, showing that a soil absorption system ❑ Soil boring and percolation test data on 115 completed by cannot be installed on the land parcel. Certified Soil Tester. (1 copy) ❑ Affidavit for all-weather service road (enclosed). ❑ Cross section of system. ❑ Pipe lateral layout. ❑ Plan view of system. V. Dosing Information ❑ Verification fo Exception Status Form by county. (1 copy) ❑ Calculations for total dynamic head and gallons pumped per cycle. III. Private Sewage Systems ❑ Size, length and depth of force main. ❑ Ground slope with 2' contours in entire area of soil absorption ❑ Detail and model of pump or automatic siphon, including system extending 25' minimum on all sides. size, pump curves, drawdown, and average flow rate (GPM). ❑ Location of area suitable for replacement system - provide soil ❑ Cross section of dosing tank showing pump(s) or siphon(s). data. ❑ Construction details of septic, holding or dose tank if site VI. Systems in Fill (Fill must be placed prior to plan submission.) constructed, or tank manufacturer if state approved. ❑ Total area filled (fill to extend 20' beyond edge ❑ Construction details and cross section of soil absorption of trench before side slopes begin.) system. ❑ Depth and type of fill. ❑ Copy of signed onsite report by county or district staff. a ST. CROIX COUNTY r~ WISCONSIN ZONING OFFICE x. R 796-2239 (HAMMOND) 425-8363 (RIVER FALLS) HAMMOND, WI 54015 April 15, 1986 Division of Safety and Building Bureau of Plumbing P. 0. Box 7969 Madison, WI 53707 Dear Sir: An on site investigation for the William Neuman property located at the SE4 of the NE14 of Section 19, T31N-R18W, Town of Star Prairie, St. Croix County, revealed suitable soils at a depth of 2.08 feet, below which seasonable high ground water was noted. This site should be suitable for a mound system. Should you have any questions, please feel free to contact this office. Sincerely, Thomas C. Nelson Assistant Zoning Administrator mj WISCONSIN DEPARTMENT OF INDUSTRY, LABOR AND HUMAN RELATIONS DIVISION OF SAFETY & BUILDINGS, BUREAU OF PLUMBING P.O. BOX 7969, MADISON, WISCONSIN 53707 Verification of Exception Status for an Alternative Private Sewage System In the County of St. Croix Location SE 1/4, NE 1/4, Sec. 19 , T 31 N, R 18 AXO" W Town 7W NRKIPAUty Star Prairie Street Address Lot No. 2 Block Subdivision Landowner's Name: William Neumann The application for this site is for: [anew construction use. ❑ replacement system use. If this is NEW CONSTRUCTION USE, the alternative private sewage system is: 1Xj to have one of the first five approvals guaranteed for this year. This is number 59 - 02 - 7 of those applications. (Use one of the first five quota num ersTeTto you.) ]one of the applications needing a quota number. The quota number assigned to this application is - - for one additional homesite on a farm to be occupied by a parent, child, grandchild, sibling, niece, nephew, or first cousin. D for an individual lot for which a sanitary permit was issued but was later ruled unsuitable due to new or changed soil criteria established by the department. (...]for an application on file prior to February 1, 1980. [_]for a lot that meets the criteria for a conventional private sewage system. If this is a REPLACEMENT SYSTEM USE, the alternative private sewage system is replacing: ❑ a failing conventional soil absorption system. v a holding tank that was installed and in use prior to February 1, 1980. ❑ a privy that was installed and in use prior to February 1, 1980. If this is a REPLACEMENT SYSTEM USE and the Jot meets the criteria for a conventional private sewage system, check here I certify that the above information is true and accurate to the best of my knowledge. Name Thomas C. Nelson Si re (County Official Title Assistant Zoning Administrator Date April 15, 1986 DILHR-SBD-6158 (R 12/82) DEPARTMENT OF REPORT ON SOIL BORINGS AND SAFETY & BUILDINGz INDUSTRY, DIVISION 7969 LABOR AND PERCOLATION TESTS (115) MADISOP.O. BOX N WI 53707 HUMAN RELATIONS (H63.0911) & Chapter 145.045) LOCATION: ,V SECTION: TOWNSHIP ITY: LOTNO.:BLK.NO.: SUBDIVISIONNAME: C I/ 17 /T3 I N/R 48,(or) W loj~ r 1 COUNTY: OWNEERR7S NAME: jMAILING ADDRESS: C F-a +t3 A0 r f~ USE DATES OBSERVATIONS MADE NO.BEDRMS,: COMMERCIAL DESCRIPTION: IPROFILEDESCRIPTIONS: 1PERCOLA IONTESTS: I)QResidence 13 A) LNew ❑Replace RATING: S= Site suitable for system U= Site unsuitable for system CONVENTIONAL: MOUND: IN-GROUND-PRESSURE: SYSTEM-IN-FILLHOLDING TANK: RECOMMENDED SYSTEM: (optional) D.U [--Is ®u INS F d If Percolation Tests are NOT required DESIGN RATE: If any portion of the tested area is in the under s.1-163.09(5)(b), indicate: f}- Floodplain, indicate Floodplain elevation: I PROFILE DESCRIPTIONS G /51W a Z_ BORING TOTAL DEPTH TO GROUNDWATER-INCHES CHARACTER OF SOIL WITH THICKNESS, COLOR, TEXTURE, AND DEPTH NUMBER pgrl;t 1.4 ELEVATION OBSERVED EST, IGHEST TO BEDROCK IF OBSERVED (SEE ABBRV.ON BACK.) 09 a3 6 B- fig-- e c 2- 0 4. L z 7 o g , lob ,r 8 0 M6 A) a r2 t3 B- n. S. 1... -3 4- Z2- 3 Z N~,.~ B- B- B- el/&GriIA~ PERCOLATION TESTS TEST DEPTH WATER IN HOLE TEST TIME DROP IN WATER LEVEL-INCHES RATE MINUTES NUMBER We"ES AFTERSWELLING INTERVAL-MIN. PERIOD 1 PERIOD2 PERIOD PER INCH P_ t 2-91 30 4:) Z /S P- 42 o tL J0 A 1 y Z O P- 3 aD © Lc 130 P P- P- PLOT PLAN: Show locations of percolation tests, soil borings and the dimensions of suitable soil areas. Indicate scale or distances. Describe what are the hori- zontal and vertical elevation reference points and show their location on the plot plan. Show the surface elevation at all borings and the direction and percent of land slope. SYSTEM ELEVATION 99 F s a i Z~J 3 1. f ~r taw rah 10C, i . E 3 z1 ) s Iot 3 0 E E 1 E : E E , e E E E I F E I; the undersigned, hereby certify that the soil tests reported on this form were made by me in accord with the procedures and methods specified in the Wisconsin Administrative Code, and that the data recorded and the location of the tests are correct to the best of my knowledge and belief. NAME (print): ~ TESTS WERE COMPLETED ON: ~11 ~ CERTIFICATION NUMBER: PHONE NUMBER (optional): ADgRCyr r✓u~ < ZZrl l'-5 -Z4 -bloc CST SIGNATU DISTRIBUTION: Original and one copy to Local Authority, Property Owner and Soil Tester. D I LH R-SBD-6395 (R. 02/82) - OVER - i` i INSTRUCTIONS FOR COMPL T - 7 R 115 - SBD - 6395 To hP a complete and accuFate soil test, y9ur report i ,t include. 1, rAtp le(lpl d-zrriC 2. T se ion _tst ii whether'th silence or commercial project; 3, M, I cointner 4. Is.. t 5. A SITE IS _ TANK ONLY IF ALL -)UT BASED C 6, vv i here for varitir ,ornpleting the pleat plan; 7, tely locating yf scale is preferred. A and are permanent; oion test exemp- ti plaits, the app . 11. - rent a~clre!, ,ute as r BE FILED 'IAT`_'R CERTIFIED SOIL _I ~ AS s si - 4 TO T J --J